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HomeMy WebLinkAbout040-1002-30-225 Wisc asin De0artment of Commerce PRIVATE SEWAGE SYSTEM County: S t. Croix Safet� end Building Division {' ► * , 6 INSPECTION REPORT sanitary Permit No: 479437 0 GENERAL INFORMATION (ATTACH TO PERMIT) We Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. 24p2g =7erWS • /p Permit Holder's Name: Village X Township Parcel Tax No: City Sammons, Scott Troy, Town of 040 - 1002 -30 -225 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ) Do z 00 .p� CST siu ( I 01.28.19.13C30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER 1 CAPACITY STATION BS HI FS ELEV. w r'�Q Septic Benchmark r W t�S O11U ( Dosing .� t ( U Alt. BM Aeration Bldg. Sewer 7° 5- r Holding St/Ht Inlet 7 � St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to AijIntake ROAD Dt Inlet Septic / Dt Bottom + Dosing Header /Man. : c - Aeration -- - -_ -__ Dist. Pipe 3 3. , 88 o ' . � 3•d$ IZ Holding Bot. System �SZ ct) - 49 F' al Grade � \ PUMP /SIPHON INFORMATION Vi wZll « 12 +s tjl!s•.• b J Manufacturer —� Demand St Cover Z GPM Model Number 3 1, (�, r (3t� t S Z je6 � H Lift Fricl:ionjDssn.-, System Head TDH Ft Forcemain Length Dia. �, Dist. to well 7 SOIL ABSORPTION SYSTEM Width Length No. Of T•reAehes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid D DIMENSIONS I ICU �� 2 W- A SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufa urer INFORMATION CHAMBER OR Type Of Syste � 2 / / � UNIT Mode umb DISTRIBUTION SYSTEM Header /Manifold / Distributio - e p �� x Hole Size �� x Hole Spacing Vent to Air Intake Lengt Dia IZ- Length 117 ID S{ Dia , • Spacing �`' , /8 3 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No _J COMMENTS: (Include code discrepencies, persons present, etc.) Insp ction #1: /� / Inspection #2: d� ZI � Location: 544 Boundary Road Hudson, WI 54016 (NE 1/4 SE 1/4 1 T28N R 19W) Lot 1 Parcel No. 01.28.19.13C30 1.) Alt BM Description = 2.) Bldg sewer length - amount of cover J�A 3 — Plan revision Required? 1 Yes X 6 No Lf Use other side for additional information. _ _ __- — - -- — Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildixgq'`O�vifiion County ` 201 W. Washington Ave., P. M adison, ;x7162 ST. CROIX fisclansin on, WI 53707 -� Sanitary Penn it Number (to be filled in by Co.) Department of Commerce (608)266 - 3151 ''1 Sanitary Permit Applicati t Plan I.D. Numb lk In accord with Comm 83.21, Wis. Adm. Code, personal informati you E� �r 11 2629 S / may be used for secondary purposes Privacy Law, s 15.04 xm) Proje t Address (if different than mailing address) I. Application Information — Please Print All Information F 1 $y /Q0vVa �/ �. r `J / Property Owner's Name ; . UROM Parcel Lot # Block # SCOTT SAMMONS P55 ZONING OFF�G _ 002 -30 -225 1 ) . — Property Owner's Mailing Address Property Location C/O JENNINGS HOME MORTGAGE 1150 STILLWATER BLVD NORTH 3C— City, State Zip Code Phone Number NE 1/4, SE 1 /4, Section 1 STILLWATER, MN 55082 -7607 1 651-275-8419 28 iYcircleone) _ T N; R 7 r II. Type of Building (check all that apply) �i� Subdivision Name CSM Number d 1 or 2 Family Dwelling - Number of Bedrooms � D I! l/WJ�- `/ (7 Public /Commercial - Describe Use h r v • Q 3 ! X773730 ❑ State Owned - Describe Use QCity Qvillage E117ownship of III. Type it: (Check only one box online A p e i pphc e) S Q ir cf A. El New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System ist Previous Permit Number and Date Issued B. ❑ PermrtRenewal ❑Permit Revision � Change ®PerntitTransf�toNew 463003 9/03/04 Before Expiration Plumber er DIRK LIIVDNER IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil 10 Mound < 24 in. of suitable soil At -Grade ❑ Single Pass Sand Filter Id Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ��❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber 0 DriRJ49e 0 el -1 Pipe ❑ Other (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design So' Application Rate(gpds Dispers Area Required (sf) Dispersal ea Proposed (sf) System Elevation 450 1 �n 54 ,1 450 SbC7 450 S a o 100.28 VI. Tank Info apacity in-" Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X Aerobic Treatment Unit W/ 1 Dosing Chamber 600 600 1 WI SER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s Signature MP/MPRS Number Business Phone Number BENNIE HELGESON 0292 715/772 -3278 Plumber's Address (Street, City, State, Zip Code) V or W1229 77 TH AVENUE, SPRING VALLEY, WI 54767 VIII. tumn /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (' duDatp Issued mg Agent ign re ps) Surcharge Fee) �// �� s ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval 5 eptic EM OWNER: 3 V1 �cL tank, effluent filter and d: at 7 ispersal cell must all be serviced /maintained C as per management plan provided by plumber. SGr, GQ iS llCr ; rU L t' " _ must be maintained , 2. All setback cable code /ordinances. requir ements t p„ / 4A as per applicable �",� 1 � Attach complete plans (to the County only) for the system on per not lem than 81/2 111 inches In size t S (R. 0 Pl Ovi I've yG.Y s Olt ��I v, , c v) , < 1 pa C, gays gq.yS 8z �., f I ro 1 , ©f fI i utJa _. 1 � ' S r Y RJR Nf :�� 09/01/2005 09:20 6087859330 SAFETY AND BLDGS PAGE 01 Safety and Buildings IL 4003 N KINNEY COULEE RD commerceml - go v to CR (6 64201 -1831 TDD *: (608) 2848777 E WWw.eommerce.v i.pov /sb! sconsi www.vAsconsin.9ov Department of Commereo Jim Doyle, Governor Mary P. Burke, Secretary September 1, 2005 .CUST ID No. 220292 AM. pOWTS inspector � �/If4 QatJV1� BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 REVISED CONDITIONS OF APPROVAL Identifcation Numbcrs PLAN APPROVAL EXPIRES: 09/1!2007 Transaction ID No. I162629 Site 1D No. 702629 SITE: Please refer to both idenuncation numbers, Scott Sammons above, in all corres ondence with the a enc . Boundary Road Town of Hudson St Croix County Nlrl /4, SEI /4, S1, T28N, R19W FOR; Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1032450 Maintenance required; 450 GPD Flow rate; 14 in Soil minimum depth to limiting factor frorworiginal grade System(s): Mound Component Manual, SBD- 10572 -P (IL6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person tray engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD - 10572- P(R.6/99) "Mound Component Manual for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD - 10573= P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of pressure Distribution Networks for ST -SAS (01/81)". A sanitary permit must be obtained $rom the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, 'Wis. Stats. e Inspection of the PO WTS installation is required. Arrangements for inspection shall be Sorts with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil cork act this -afiees ptahtbited. -- -- -- -- The mound site sball be flee chis low ee a$ Ossibl hl br • k u t e 1 it t to a exists in the u>nderlvm soil b orizotts n �r tlae surface In addition anv extension of tht dowaslone toe of mou d to increase the basal ar i hl. recommend • A state approved effluent filter is require , aintenance information must be required. Access to the titter for cleaning must be providitd explalning that periodic cleaning of the filter is per Comm 84 product approval conditions. 09/01/2005 09:20 6087859330 SAFETY AND BLDGS PAGE 02 BENNIE W HELOESON Page 2 911/2005 I ■ Comm 83.22(7) - A copy of the approved plazas, specifications and this letter skull be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: ores relating receive a c of this letter including instructs r48 e each subsequent owner, shall z copy . ■ The current owner, and h q to proper use and maintenance of the system Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(x) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a huuaan health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the properly ,owner must follow the contingency plan as described in the approved plans. ■ The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the components) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions sbould conditions arise malting them necessary for code compliance. As per state stets 101.12(2), nothing in this review shall relieve the desigm of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be =de to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, . Fee Required S 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)7894892, Mon - Pri, 7:15 am - 4:00 pzn WiSMART code: 7633 jswim@com%nerce.state.wi.us cc: Leroy 0 Jansky, Wastewater Specialist, (715) 726 -2544 r Safety and Buildings 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.w www.coe.wi.gov/s sin.go / t epartment of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 11, 2005 CUST ID No. 220292 ATTN.• POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/11/2007 Identification Numbers Transaction ID No. 1162629 SITE: Site ID No. 702629 Scott Sammons Please refer to both identification numbers, Boundary Road above,, in all correspondence with the agenc Town of Hudson St Croix County NEIA, SETA, S1, T28N, R19W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1032450 Maintenance required; 450. GPD Flow rate; 14 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual, SBD- 10572 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD- 10572- P(R.6 /99) "Mound Component Manual for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD - 10573- P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Presst ure Distribution Networks for ST -SAS (01/81) ". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Due, tp�S rich may include local inspec tors. a^ " Iqi A Cc�ndt't onvd1v LJ P?- 1 ROW E 1w ) c BENNIE W HELGESON Page 2 8/11/2005 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 INDEX SHEET It 4 o bZb 1 20 PROPERTY OWNER: SCOTT SAMMONS C/O JENNINGS HOME MORTGAGE 1150 STILLWATER BLVD NORTH STILLWATER MN 55082 -7607 PROJECT NAME: SCOTT SAMMONS PROJECT LOCATION: NE 1/4, SE 1/4, S 1, T 28 N, R 19 W MUNICIPALITY: TOWN OF HUDSON COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- P(R/99) MOUND COMPONENT MANUAL SBD- 10572 -P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: W1000/600-MR ZABLE Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Sign Address: W1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Date: July 29, 2005 DIVI SION .: FLTY AND BUILDINGS ONDENCE SEE Co i Ivt Vic 4- Sc or C. c* q- PIL P qg. yr 4q.yS PU L ------ "---- - - -_ -- -- --� � � ` f Mme, 1��q —c!) LZ 8z I To 463 �Y 1J h j V ,�,�► r Eck Ywt AUG -11 -05 02:43 PM P.02 OFS Synthetic Covering B - C 33 Distribution Pipe Medium Sand Topsoll _4 3 ► � D 3 r � -3 % Slope CIELI pt 2-- 2 % Force Main Plowed Aggregate From Pump Layer i 0 Ft, Cross Section Of A Mound F _ Ft. G Ft, A 4 V . Ft. H _ Ft. Signed: -. _ S 4g o , Ft. License Number: K , -- Ft. L im a r l � 41h L �r pate: �� J.2 -fit' —/� I Ft. observation P!Pe Al W d / Distribution C �l_� 0 f 2 "' 2 Pipe Aggregate f � u Observotion Pipe v I Plan view of Mouna L1Wk1f),X-, 1 1 dcx�TT" S H 14 m u kj S IL Porlorolea P IP. Doi L C � End Vluw Par (orolto o``o PVC Piet `C Q,` Holes Located on Bottom are Equally Spaced A rtv, L l )E C&"%O J5 " _a Qitlrlbullon. PID. i Discribucion Pipe Layout P 6 7 7 1 R g „ S x � y r 1. 1 ti Hole Diameter Inch Signed: Lateral " Inch (es) License Number: htaniEold � Inches Dace: Force Main " off. Inches rrf " + L-oJ eucd = X 1, C - (A) Y�P�Y`' JC.y'T'- �/9 m m c: /1 S Page q Of 8 SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4 .Pik VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF >_ 25 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE CO WARNING LABEL --�- v " MIN. 2y u S.A. 16" IN tg mlo. INLET WATER TIGHT SEALS GAS ' ` , TIGHT, /APPROVED FILTER — A SEAL JOINTS WITH _t_ ALM APPROVED PIPS APPROVED .2A $1: �, B ON 3' ONTO PIPE 3' �D x�G - r - , SOLID SOIL ONTO SOLID C SOIL PUMP OFF ELEV , ,5�O FT. -I— OFF D 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS 7n t c. ( (T cal � rk1 L �f•e_n�,r SEPTIC / DOSE 1 TANK MANUFACTU RER: (L e S e b - INCLUDING TANK SIZES SEPTIC irOC' GA DOSV DOSE G FLOWBACK: 1L: GAL• ALARM MANUFACTURER: -� CAPACITIES: A = N INCHES = al ,tea AL. ll MODEL NUMBER: B = 2 INCHES = . � GAL. SWITCH TYPE: PUMP MANUFACTURER: t �� C = INCHES = 7 .3a GAL. MODEL NUMBER: D = INCHES = IS GAL. SWITCH TYPE: � LL' REQUIRED DISCHARGE RATE A GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 7S FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . • • • • • . . �� FEET + FEET FORCEMAIN X ,Z:a FT /100 FT. FRICTION FACTOR �� FEET �- TOTAL DYNAMIC HEAD _s_ = FEET zt.3G.' INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER LIQUID DAP I (�,7 C?a-� N F'IE'«Se- Ste •- S' e � . SCI ee SIGNED: LICENSE NUMBER: DATE: 1/88 a 3 m u z m LL o� wQ �co l Na �I Q .0 J C] ' t �Noo .o ao . s w w .. o 0 1 _ _ Z a �f F Fa ° �Ztn o;= U 5 a a w r . r X~ r , f ~ c o f � \NV Q 0O o � co CD d I O V a o m m a z__z t- -- t ^C) 0 w ° _ \\ n a a 0 ow tri¢ as Z l�� = 000 wtz O Vi 0 -N wiF-w 00 fn0 r, �UV� N I ° to co r" :D w < I _j ° O Nip m O V) Q w to fit` O Q W �' F=� mNH Q O N `o Ln � �' w U w J Z I"" z °°Z_j� IoW oow Q w O vi . oaxT .. °- o°7tYn z`n ooh Q ° V °aooQ� �Ow Z. a o U o � w w _a o I 1:" p Z Z J l I i I i tt f i I 1 ?. I i I » z� z — M7 -- - - - - -- — — . , I I i 1 I 1 >> * 1 I T II S 9t , »� LJJ II { e I 1 \ v< 1 w 1 I 1 I I W t o L) ' F-- to cn f I ro r 1 & 1 j to z i LU o „6� I 9C C1 y . L GI�I ,rr'd,Ur11C HEAD/CAPACITY ,'i :k MiNUIL HEAD CAPACITY CURVE AND DFWATERING 0 MODEL j 153 X MC,I,i 153 50 "ul. Liters Got. Liters 261 77 291 153 10 f 3.1 61 231 70 265 12 40 1 2 - - -- - -- 9 Z 15 4.6 53 201 61 231 _ 20 6.1_ 44 167 52 197 v 30 25 7.6 34 129 42 159 Z 13 30 9.1 23 87 33 125 ° 35 10.7 - -- -- 22. 85 20 —_. p 40 12.2 -- 42 4 �b.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 L -- -- - --- --�--- -- ousoe 0 20 40 60 80 100 GALLONS 31-1(o f b ' — LITERS 0 80 160 240 320 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. U j 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable _ level long and short cycle controls. + • Sealed Qwik -Box available for outdoor installations. See FM1420. -� • Over 130 °F. (54 0 C.) special quotation required. I 1521153 Series 12 1/8 152/15 MODELS Control Selection Model Volts -Ph Mode I Amps Simplex Duplex — 5 1/8 N152 115 1 Non 1 8.5 1 2 or 3 — BN152 115 1 Auto 1 8.5 Included 2 or 3 SK2064 E152 230 1 Non 4.3 1 2 or 3 - -- SE152 230 1 to 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level that BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10.0225 used as a control activator specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0347 Manufacturers ol. . SHIP T0 w : 3649 Cane Run Road Louisville, KY 40111.1961 X ?t 7 �� Qu4urr Puu S dcE /9.99 O PUMP !O. (� 77 AX 3 02) 774.3 928 -PUMP httpJ/www.zoeller.com (50?) 774.3624 ' © Copyright 2001 Zoeller Co. All rights reserved. x ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 3z� Mailing Address Property Address 130 t ` v'xS (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION C �� 6) Property Location N- '/4, 5� `/4, Sec. / , T _ N- R Town of Subdivision Lrrr Z o� CS 01 1 Zv Lot # � " 73o Volume Page # 2 , _ , �3I Certified Survey Map # � 3 p U Volume r� 8�� , Page # 3� a 6 - ��arran Deed # 3 tY Spec house O yes (9) no Lot lines identifiable ®yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner ad by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of shtdge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certicadw stating that your septic system has been maintained must be completed and returned to the St Croix douaty Zoning Office within 30 day of the three Y ,� Lr expiration date. SIGNATURE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owne4s) of A theoperty describ d above, by virtue of a warranty deed recorded in Register of Deeds Office. TURE APPLICANT DATE iiiiii Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •'�' # * ' " Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity 1000 al 0 NA SCOTT SAl`1rI0NS _ Permit 3 Septic Tank Manutacturer WIESER CONCRETE 13 NA Effluent Filtur Manufacturer ZABEL O NA DESIGN PARAMETERS O NA Number of Bedrooms 3 ❑ NA Effluent Filtur Model A —lUU 12" x 20 Number of Public Facility Units CR NA Pump Tank Capacity 600 al O NA Estimated flow (average) 300 � al /day Pump Tank Mai utacturer WIESER CONCRETE 93 NA Pump MallutaCturer ZOELLER PUMP CO O NA Design flow (peak), (Estimated x 1.5) 450 galida z Pump Model 152 O NA Soil Application Rate 0 al /day/ft C[NA Standard Influent /Effluent Quality Monthly average' Pretreaunent Unit Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filtur ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L CY NA ❑ Mechanical Aeration ❑ Wetland 5150 mg /L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) % O NA Pretreated Effluent Quality Monthly average Dispersal Cull(s) �..,.- ❑ In- Ground (gravity) 13 In-Ground (pressurized) Biochemical Oxygen Demand (BOD 530 mg /L Mound Total Suspended Solids (TSS) 530 mg /L (ANA ❑ At -Grade Fecal Coliform (geometric mean) 510` cfu /100ml ❑ Drip - Lino ❑ Other. Maximum Effluent Particle Size Y in dia. ❑ NA Other. O NA Other: ❑ NA Other: O NA Other: O NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Survicu Frequency ❑ monthls) (maximum 3 years) O NA Inspect condition of tank(s) At least once every_ 2 ® earls) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume O NA 2 ❑ month(s) (Maximum 3 years) 0 NA Inspect dispersal cell(s) At least once every: !� year(s) month(s) _Q NA Clean effluent filter At least once every: 13 ❑ year(s) Q month(s) O NA Inspect pump, pump controls & alarm At least once every: 13 ❑ year(s) ❑ month(s) - O NA Flush laterals and pressure test At least once every: 3 M years) ❑ month(s) p NA Other: At least once every: ❑ year(s) Other: , 3 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any Cracks Or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one third (Y,1 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter. NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) CWNER: SCOTT 'SANNONS Page START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may 'impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to Assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, The area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life Of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; Disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat Scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water soliener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the System is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings scaled. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space Filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code Compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS d1 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CON'T'AIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROkI THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name HELGESON EXCAVATION INC Name JOHNSON SANITAT ' I Phone 1 715/772 -3278 -Phone 715/273-581 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORMY' Name JOHNSON SANITATION A9encY ST. CROIX COUNTY ZONING Phone 1 715/273 -5811 Phone 715/386 -4680 This document was drafted by the staffs of the Gresn lake, Marquette and Waushara County toning and Sanitation saendp/ TI* d00Wt1Wtwmb the minknum requirements of ch. Comm 83.22(2)(b)(1)(d)d(f) and 83.54(1), (2) 6 (3), wisconsln AdmWstralive Cods. UN o(fbl 11106=01doiiad quarantee the perlotmanee of the POWTS. G141N�7/Oq STO CROIX C OUNTY AA IL PLANNING & ZONING FAx MEMO DATE: To: Cam. v Code Administrati FAX NUMBER: ep(j y- 7j/ 9 �3 —3 U 715 - 386 -4680 Land Information FROM Planning �U� A/OL-) 715- 386 -467 FAX NUMBER 715 - 386 -4686 Real . erty PHONE NUMBER: 7 6 -4677 R cling NUMBER OF PAGES, INCLUDING COVER SHEET: - 386 -4675 ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD HUDSON W1 54016 715386.4686 FAX PZ @CO. SAINT- CROIX.WI.US WWW.CO.SAINT- CROIX.WI.US 04/1211995 02:42 715 - 726 -2549 S &B CHIPPEWA FALLS PAGE 01 x I SAFETY AND BUILDINGS DIVISION commer a wl.9ov Integrated Services Bureau 13 East Spruce Street ■ Chippewa Falls, WI 54729 t ��0��1� INSPECTION REPORT www.commerce.state.wi.us/sb (715) 726 -2544 of commerce Date of Inspection: August 21, 2003 Plumber Name and Address: Project Name: Linder NA Use: New Residence Legal Description: 1, 28, 19W Site Number: Certified Soil Tester Name and Address: Subdivision: Lot 2 (6 acres) Tom Nelson, CST 227387 Municipality: Town of Troy 1432 120 St County: St. Croix New Richmond WI 54017 Plan Transaction Number: NA Owner Name and Address: Sanitary Permit Number: Dirk Linder Wastewater Flow: 450 gpd Persons Present: T. Nelson, Owner. This onsne soils investigation was requested by the certified soil tester to help determine the suitability of conditions for a mound system. Two soil pits were reviewed (CST B -1 and B -3) that revealed similar conditions. It is my opinion that this site is suitable for a mound type system. CST B -1 I oQ O_C ✓t� ' " 4 00 -04" 10YR 3/2 sil 2m-cs mfr, � cs. ^)?A ' 1 a �� 10YR 514 sil, 2f -m I mfr cw sl , ms , mfr, with c2f 10YR 5/6 and 6/3 rmfs If there are any questions regarding this report, please contact me. ? & VV4 - qtt� *' * Leroy G. ansky, W astowaol Specialist Ljensky commerce.state. i us E -mail 715/726 -2544 Voice 7151725 -2549 Fax cc: ®County ❑ Plumber ❑ CST ❑ Owner ❑ Other Post -lt' Fax Note 7611 PFX TO Phone a Fax s Wisconsin Department of Commerce SOIL EVALUATION REPORT Pa 1 o f 3 Division of Safety and Buildings in accordance with Comm 85, We. Adm. Code County St. Croix Attach complete site plan on paper not less -than 812 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. petcentsiope, scateordimensions, north arrow, and Location and distan6bto nearest road. , v Please print all information. view �� rN F Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ` Q Property Owner Property Location H 0 4 ■ Dirk Lindner Govt Lot 1/4 SE 1/4 S 1 T 28 N R 19 E (or® Property Owner's Mailing Address Lot # 1310& # Sufi. Nary for C8W / 544 Boundary Road ?i _ 7 City State Zip Code Phone Number oc [] ■. Town Nearest Road Hudson WI 1 54016 ( 715 - 426 - 1217 Fa Tower Road E New Construction UseL l Residential / N U M156f of bedi;66 rrs 3 Code dented design flovii cafe 450 GPD Replacement Public or commercial - Describe: Parent material ble r e ft. General comments Sied to be sized using the .3 loading rate and remmmendations: Additionally, site sh l c se p ow so up the platy structure Onsite inspection condu y Leroy Jansky, State Wastewater Specialist, or Ne purpose of being less than A +10, which is required by St. Croix County 1 � Boring r Boring # Pit Ground surface elev. 97.87 ft Depth to IimiUng factor 14 in. Soil Application Rate Horizon D60M Dominant C61or Redok Descrpton Tixtufe StibeWre Con§istence undary Roof§ GPDAf in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 j 'Eff#2 1 0-4 10yr3/2 - sil 2 mfr cs 2f .5 .8 2 4-9 mfr 1 f 2 3 7.5 5/4 - sil 1 cs 3 9-14 7.5yr5A - sicl lfpl mfr - - 2 .3 4 14 7.5vr5 /4 fl tsyr5 /8 sicl lfpl - - .2 .3 2 Boring # Boring 97.82 15 F E) Pit Ground surface elev. it. Depth to limiting factor in. Soil Application Rats Horizon bepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 61 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Efr#1 *Eff#2 i 1 0 -5.5 10yr3/2 - sil 2msbk mfr. cs 2f .5 .8 2 5.5- 7.5 4 - sil lms mfr Cs if 3 3 9 -15` 7.5yr5/4 - sicl lfpi mfr - - 2 .3 4 -25 7.5yr5/4 hl6 sicl lfpl mfr - - 2 3 77f Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 ' Effl - 30 mg/L and TSS < 30 mg/L CST Name (Please Print) gnature CST Number Thomas C Nelson 227387 Address /� 1,20 /� r/ / D /G0 Date Eva ' Conducted Telephone Number y 7"� JlF Ay t� +�a C /vim ri inj) 2 3 Property Owner Parcel ID # rage of M Boring Borin # g Pit Ground surface elev. 98.92 ft Depth to limiting Tractor 15 in. Soil Applicom Rata Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary moots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-4 10yr3 /2 - sil 2msbk mfr cs 2f .5 .8 2 7,5 5/4 - sil lmsbk mfr cs if .2 .3 3 9-15 7.5yr5%4 - sicl lfpl mfr cs - 2 .3 4 15 -2b 7.5yr5 /.4 fl f5yr5 /8 sicl 1 fpl mfr - - .2 .3 F—I Boring # Boring pit Ground surface elev: ft: Depth to limiting factor in: Sal ° Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM ire. Munsell Qu. SE. cant C©lar Gr. SE. Sh. *Eft#1 "Et'flle2 ❑ Boring # Boring Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BtOD > 30 < 220 mg/L and TSS >30 < 950 mg/L • Effluent #2 = BOD 130 mglL and T88 _< 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. CRI).RWTmt lR W MI I� .37 Av, $W 7 6 �22V � - 3 ea � • ° 2 ,� ��S r - P00 Dirk Lindner NE1 /4, SE1 /4, Section1 T28N, R19W, Town of Troy -r, Tom✓ Imo• od R a� A y � a � N L 4 7 ' 0 t rod LOT ' r 1� t boll S'C 6V Can.hea. (SCALE I" 30' BMI TOY OF COWDVIT 100' BM2 TOY OF COFDVIT 99.32' BI 97.87' B2 97.82 B3 98.92 Thomas Nelson 227387 11 �" U 2 8 4 3 P 3 2 2 80340 KATHLEEN H. WALSH t * I STATE BAR OF WISCONSIN FORM 2 - 1982 REGISTER OF DEEDS WARRANTY DEED ST. CROIX Co., WI DOCUMENT NO. i RECEIVED FOR RECORD 07/15/2005 08:20AN WARRANTY DEED Dirk A Lindner and Marlyn M_ .indner, hushnnd EXEMPT # and wife REC FEE: 11.00 TRANS FEE: 270.00 conveys and warrants to ' COPFEEEE: PAGES: 1 Snntt n_ SammnnR anti Rarhara C_ Ra mmnnR, hrrRhand and wife as srtrmivnrship marital property THIS SPACE RESERVED FOR RECORDING DATA i NAME jkftf0M BENTS TO: the following described real estate in St. Croix County, Viii Title & Abstract Coatpmy State of Wisconsin: ppwumer+cial Division North Lot One (1) of Certified Survey Map in Vol. 18, 2S10Un Stllile 214 N N I f orth t C te�t � S' Page 4831, Doc. No. 773730, filed in the office Saint Paul. Minnesota 55114 of the Register of Deeds for St. Croix County, Wisconsin. Said Lot being part of Lot 2, Certified Survey Map in Vol. 17, Page 4820 and part of Lot 1, c9 N0 - i002_ - 30 - , z Certified Survey Map in Vol. 9, Page 2559, both in PARCEL IDENTIFICATION NUMBER the office of the Register of Deeds for St. Croix County, Wisconsin. Said Lots are located in the NE 1/4 of the SE 1/4 of Section 1, Townhship 28 North, ' Range 19 West, St. Croix County, WISCONSIN i I � I J I I This t homestead property. (is) (is not) Exception to warranties: Easements, restrictions and rights of way, if any { Dated this day of J vt y A.D., - 9 i f (SEAL) (SEAL) I (SEAL) - • r K A • L .1 - - (SEAL) i • - hlgA A Q i19 f AUTHENTICATION ACKNOWLEDGMENT Mt AWE,9Prj% Signature(s) State ofi�eeits3sl, ss. WAS/,N.✓6-7D/V County authenticated this day of 19 Personally came before me this ZI day of J 111 -y .44 -2-40-C the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, 1 authorized by $706.06, Wis. Stats.) PtONO /T r M/IIO m nown to be the person who executed the foregoing MY � wwIiION ent and acknowledge the same. THIS INSTRUMENT WAS DRAFTED B (�(' JAN. a1,'1 O O 7.sS2Zl/jt -A.- /L�— .:Z - -1 1MAI ,al e/ Notary Public, County, Wis. IF (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (if not, state expiration date: necessary.) 19 ) • Names of persons signing In any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN WlsoonW Logo Blanrr Co., Inc. i Form No. 2 — 1962 MMia,aaw. Wis. Parcel #: 040. 1002 -30 -225 09/01/2005 07:36 AM PAGE 1 OF 1 Alt. Parcel M 01.28.19.13C -30 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/08/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - SAMMONS, SCOTT D & BARBARA C SCOTT D & BARBARA C SAMMONS 1320 S MAIN ST #3 RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.320 Plat: 4831 -CSM 18 -4831 040 -04 SEC 1 T28N R19W PT NE SE FKA CSM 17 -4620 Block/Condo Bldg: LOT 01 LOT 2 (5.560AC) & CSM 9 -2559 (4.085 AC) NKA C 18 -4831 LOT 1 (3.32 AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 01- 28N -19W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 07/15/2005 800340 2843/322 WD 09/08/2004 773730 18/4831 CSM 11/19/2003 746974 2459/108 WD 09/29/2003 741696 17/4620 CSM more... 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/22/2005 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 7 7 3 7 3 0 VOL 4831 KATHLEEN N. WALSH REGISTER OF DEEDS ST. CROIX CO. YI - n A ' '"' - RECEIVED FOR RECORD ° o y a! gi °. c i 09/08/2004 12:95PM g. m N a `D cn c = n CERTIFIED SURVEY MAP Q R 3 tO c REC FEE: 13.00 n o m w Q r COPY FEE: 3.00 CD m n g' �_ 3 o '�' y Z c // PAGES: 2 CL N W N W Z C3 -4 Z ° O � 3 Z y/ Z a y CL CL- c A z 12 L2Z A o�y �� S p CD CD G=1 Z Z m ° m x z = z Z Q Z 7V CD 7 +z a m ° m 9 -`� Z z n Z ` m c :D 2 n Q o o z �'r°nz 5v 9 C m m m M(�]PdLQ5 L5D L�.LII D� o m m r' EAST LINE OF THE W1/2 OF THE z z O O D O = W1/2 OF THE NEI /4 OF THE SE1 /4 1 m C ,< m Z 300 °07'41 "E 656.06' 0 m y 0 c 239.35' „ 112.629.83 277.83' Q m v . Z m .. ............................... i 1:* m� ° no ; a iml QOO I II� m Nrr( +11 O �� 1 m rn rn m� dl V n 0 M j $ ���: 150' II> m ..I c 1 m rn m p: a ' . N a cn I� w m 'o i 1 �r n 0 M I'� Omr 3 ! C) ...... ..............: r� O j m 0 N O °03'37 "E E83. ' ' ' ' ' ' ' ' ' ' ' ' PROPOSED j Z W N (�j I 1 P ? N00°03'37 "E 374.017 DRIVE A 1 c O m m C I 103.84' 344.74' 240.90' A ` 11 Z A 71 1 In ' e4t...: q t I mQ i m� m w i0 I i figs.. I ° I �� C) *n O. I D I� 50' :'a' gym: _WP f� m0� . 1 1 O ° 1 I C i 1 C A Q O .{ I Q i F ; 33' 33' I D° 4 z i� a m I� i� O 0 ) z W z 0 2 ° ? '41 i� "n C 1� ¢i 1 i� 00 O p R3 ` per t° ��° IC�1J�O m fll N I � I �I�1�1 �'�+ m Z 11 al NN i �� A O O -- �N00- 03'37•E g 4 ''a.. €1S�lZND - R D. "' _ EXISTING 5 ' eQ 2262'4 NOO NO O°03'3 7"E 291.01' ' CENTERLINE 83.00' - m +. o PAT 4 I 10 0 2 Z cn T Z s O BEARINGS ARE REFERENCED TO THE SHEET 1 OF 2 SHEETS ST. CROIX COUNTY COORDINATE SYSTEM Vol 18 Page 4831 r CERTI FI EM S V RVEV MAP LOCATED IN PART OF THE NE1 /4 OF THE SE7 /4 OF SECTION 1, T28N, R19W. TOWN OF TROY. ST. CROIX COUNTY, WISCONSIN; BEING LOT 2 OF CERTIFIED SURVEY MAP RECORDED IN VOL. 17, PG" 4620 AND LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOL. 9, PG. 2559 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. OWNER: SURVEYOR DIRK UNDNER EDWIN C FLANUM 544 BOUNDARY ROAD NORTHLAND SURVEYING. INC. HUDSON, WI 54016 856 A HWY "65" 1 P.O. BOX 14 ROBERTS, WI 54023 SURVEYOR'S CERTIFICATE I, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Dirk Lindner, 1 have surveyed, mapped and described the parcel of land which is represented by this Certified Survey Map; that the exterior boundary of the parcel of land surveyed and mapped is described as follows: A parcel of land located in part of the NE of the SE1 14 of Section 1, T28N, R19W, Town of Troy, St. Croix County, Wisconsin; being Lot 2 of Certified Survey Map recorded in Volume 17, Page 4620 and Lot 1 of Certified Survey Map recorded in Volume 9, Page 2559 at the St. Croix County Register of Deeds office; described as follows: Commencing at the E1/4 Corner of said Section 1; thence S89 °41'39 "W, along the east - west 1/4 line of said Section, 204.58 feet to the point of beginning; thence continuing S89 °41'39W, along said east - west 1/4 line, 781.62 feet to the east line of the W1/2 of the W1/2 of the NE of the SE1 /4; thence SOO °07'41 "E, along said east line, 656.06 feet to the south line of Lot 1 of Certified Survey Map recorded in Volume 9, Page 2559 at the St. Croix County Register of Deeds Office; thence N89 0 55'22 "E, along said south line, 384.03 feel to the west line of Lot 2 of said Certified Survey Map: thence NOO °03'37 "E, along said west line, 283.60 feet to the north line of said Lot 2; thence N89'4 1'40"E, along said north line, 600.00 feet to the east line of the SE1 /4; thence N00 7"E. along said east line, 83.00 feet to the south line of Lot 1 of Certified Survey Map recorded in Volume 17, Page 4620 at above said office; thence S89 °55'22"W, along said south line, 203.62 feet to the west line of last said Lot 1; thence N00°07'41 "W, along said west line, 290.19 feet to the point of beginning. Described parcel contains 9.60 acres (418,044 Sq. Ft.). Parcel is subject to Town Roads (Tower Road and Boundary Road) right -of -way and all other easements, restrictions and covenants of record. 1, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes, the Land Subdivision Ordinance of the County of St. Croix and the Subdivision Ordinance of the Town of Troy in surveying and mapping same. ,,��gCONs� EDWIN C. FLANUM S -2487 AMERY WIYS 9' Each parcel shown on this map (plat) is subject to State and County laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Troy for advice. SHEET 2 OF 2 SHEETS Vol 18 Page 4831 FfiY ^,1 i ! 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